(a)  A person shall not commit a fraudulent insurance act.

Terms Used In Rhode Island General Laws 27-54.1-2

  • Business of insurance: means the writing of insurance or the reinsuring of risks by an insurer, including acts necessary or incidental to writing insurance or reinsuring risks and the activities of persons who act as or are officers, directors, agents or employees of insurers, or who are other persons authorized to act on their behalf. See Rhode Island General Laws 27-54.1-1
  • Commissioner: means the director of the department of business regulation or his or her designee or the division of insurance. See Rhode Island General Laws 27-54.1-1
  • Fraudulent insurance act: means an act or omission committed by a person who, knowingly and with intent to defraud, commits, or conceals any material information concerning, one or more of the following:

    (i)  Presenting, causing to be presented or preparing with knowledge or belief that it will be presented to or by an insurer, a reinsurer, broker or its agent, false information as part of, in support of or concerning a fact material to one or more of the following:

    (A)  An application for the issuance or renewal of an insurance policy or reinsurance contract;

    (B)  The rating of an insurance policy or reinsurance contract;

    (C)  A claim for payment or benefit pursuant to an insurance policy or reinsurance contract;

    (D)  Premiums paid on an insurance policy or reinsurance contract;

    (E)  Payments made in accordance with the terms of an insurance policy or reinsurance contract;

    (F)  A document filed with the commissioner or the chief insurance regulatory official of another jurisdiction;

    (G)  The financial condition of an insurer or reinsurer;

    (H)  The formation, acquisition, merger, reconsolidation, dissolution or withdrawal from one or more lines of insurance or reinsurance in all or part of this state by an insurer or reinsurer;

    (I)  The issuance of written evidence of insurance; or

    (J)  The reinstatement of an insurance policy;

    (ii)  Solicitation of acceptance of new or renewal insurance risks on behalf of an insurer, reinsurer or other person engaged in the business of insurance by a person who knows or should know that the insurer or other person responsible for the risk is insolvent at the time of the transaction;

    (iii)  Removal, concealment, alteration or destruction of the assets or records of an insurer, reinsurer or other person engaged in the business of insurance;

    (iv)  Willful embezzlement, abstracting, purloining, or conversion of monies, funds, premiums, credits or other property of an insurer, reinsurer or person engaged in the business of insurance;

    (v)  Transaction of the business of insurance in violation of laws requiring a license, certificate of authority or other legal authority for the transaction of the business of insurance; or

    (vi)  Attempt to commit, aiding or abetting in the commission of, or conspiracy to commit the acts or omissions specified in this subsection. See Rhode Island General Laws 27-54.1-1

  • Insurance: means a contract or arrangement in which one undertakes to:

    (i)  Pay or indemnify another as to loss from certain contingencies called "risks" including through reinsurance;

    (ii)  Pay or grant a specified amount or determinable benefit to another in connection with ascertainable risk contingencies;

    (iii)  Pay an annuity to another; or

    (iv)  Act as surety. See Rhode Island General Laws 27-54.1-1

  • Person: means an individual, a corporation, a partnership, an association, a joint stock company, a trust, an unincorporated organization, or any similar entity or any combination of the foregoing. See Rhode Island General Laws 27-54.1-1

(b)  A person shall not knowingly or intentionally interfere with the enforcement of the provisions of this chapter or investigations of suspected or actual violations of this chapter.

(c)(1)  A person convicted of a felony involving dishonesty or breach of trust shall not participate in the business of insurance without the written consent of the commissioner.

(2)  A person in the business of insurance shall not knowingly or intentionally permit a person convicted of a felony involving dishonesty or breach of trust to participate in the business of insurance without the written consent of the commissioner.

History of Section.
P.L. 2010, ch. 54, § 1; P.L. 2010, ch. 71, § 1.